Wellcare Mastery Exam 2025
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) ANS: Arizona,
Oregon
For 2025, Wellcare will be offering plans to more than 51 million beneficiaries, which accounts for 77%
of all eligible Medicare beneficiaries in our ___ states ANS: 32
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members ANS: Wellcare Classic
Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? ANS: Classic PDP
CustomPoint® sales material order dates will be posted on Wellcare.com ANS: False
All Traditional Medicare Advantage Prescription Drug (MAPD) plans will offer $0 copay for most Part D
preventive vaccines regardless of network pharmacy used by members. ANS: True
Wellcare Mutual of Omaha co-branded plans are offered in _____ states. ANS: 5
Wellcare is the official Medicare provider partner of The American Legion to serve Veterans in 24 states.
ANS: True
Starting in 2025, a member may move through THREE benefit stages during the plan year. Which benefit
stage will no longer exist? ANS: Coverage Gap
For 2025, Wellcare will offer a Value-Based Insurance Design (VBID) model on select Dual Eligible Special
Needs Plans (D-SNPs) that include $0 deductible and $0 copays for covered prescriptions. ANS: True
, Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1 as new certifications and
recertifications take place. ANS: True
Brokers/Agents can access and download enrollment materials through CustomPoint®. ANS: True
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan Sales
Leader and must indicate: ANS: All
Which of the following actions are you required to do when contacted regarding an allegation of
noncompliant activity? ANS: All
Disciplinary actions stemming from the result of a compliance allegation are always progressive. ANS:
False
The Single Sign-On Portal provides access to multiple applications, including CustomPoint®. ANS: True
______ events are designed to inform the people who attend about Medicare Advantage, Prescription
Drug, or other Medicare programs without going into the specifics of a particular carrier. ANS:
Educational
Materials that include plan comparisons or cost sharing do not require Centers for Medicare & Medicaid
Services (CMS) submission. ANS: False
From October 1 to October 14, certain activities are not permitted for 2025 sales and enrollments. These
include: ANS: All
The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO that sells plans
on behalf of more than one Medicare Advantage (MA) plan provider. The disclaimer must be: (Select all
that apply.) ANS: All
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) ANS: Arizona,
Oregon
For 2025, Wellcare will be offering plans to more than 51 million beneficiaries, which accounts for 77%
of all eligible Medicare beneficiaries in our ___ states ANS: 32
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members ANS: Wellcare Classic
Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? ANS: Classic PDP
CustomPoint® sales material order dates will be posted on Wellcare.com ANS: False
All Traditional Medicare Advantage Prescription Drug (MAPD) plans will offer $0 copay for most Part D
preventive vaccines regardless of network pharmacy used by members. ANS: True
Wellcare Mutual of Omaha co-branded plans are offered in _____ states. ANS: 5
Wellcare is the official Medicare provider partner of The American Legion to serve Veterans in 24 states.
ANS: True
Starting in 2025, a member may move through THREE benefit stages during the plan year. Which benefit
stage will no longer exist? ANS: Coverage Gap
For 2025, Wellcare will offer a Value-Based Insurance Design (VBID) model on select Dual Eligible Special
Needs Plans (D-SNPs) that include $0 deductible and $0 copays for covered prescriptions. ANS: True
, Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1 as new certifications and
recertifications take place. ANS: True
Brokers/Agents can access and download enrollment materials through CustomPoint®. ANS: True
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan Sales
Leader and must indicate: ANS: All
Which of the following actions are you required to do when contacted regarding an allegation of
noncompliant activity? ANS: All
Disciplinary actions stemming from the result of a compliance allegation are always progressive. ANS:
False
The Single Sign-On Portal provides access to multiple applications, including CustomPoint®. ANS: True
______ events are designed to inform the people who attend about Medicare Advantage, Prescription
Drug, or other Medicare programs without going into the specifics of a particular carrier. ANS:
Educational
Materials that include plan comparisons or cost sharing do not require Centers for Medicare & Medicaid
Services (CMS) submission. ANS: False
From October 1 to October 14, certain activities are not permitted for 2025 sales and enrollments. These
include: ANS: All
The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO that sells plans
on behalf of more than one Medicare Advantage (MA) plan provider. The disclaimer must be: (Select all
that apply.) ANS: All
